| Date of birth: | 1988 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 922 Churchill St; Waupaca, WI 54981-2089; (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 862592 |
| Photo date: | Jan 3, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00568210 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1M)(H)1 F , 961.573(1) M , 973.015 |
| County: | WAUPACA |
| Convicted: | Jan 3, 2011 |
| Case number: | 10CF90 |